Individual
DR. LEAH CAROL LAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506
(304) 598-4820
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7101
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
28626
WV
207W00000X
Ophthalmology Physician
35054944
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
35054944
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070802871
—
OH
05
—
0791246
—
OH
Enumeration date
06/18/2006
Last updated
04/12/2022
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